Cargando…
The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws
BACKGROUND: The biomechanical behavior of Pauwels type III fractures should be taken into consideration when performing internal fixation, since this repair should resist the shear force inherent in the vertical fracture line to the greatest extent possible. Recently, the use of a small fragment pla...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497711/ https://www.ncbi.nlm.nih.gov/pubmed/31049738 http://dx.doi.org/10.1186/s40634-019-0187-3 |
_version_ | 1783415514110885888 |
---|---|
author | Giordano, Vincenzo Alves, Danilo Diniz Paes, Roger Pletsch Amaral, Arthur Bonfim Giordano, Marcos Belangero, William Freitas, Anderson Koch, Hilton A. do Amaral, Ney Pecegueiro |
author_facet | Giordano, Vincenzo Alves, Danilo Diniz Paes, Roger Pletsch Amaral, Arthur Bonfim Giordano, Marcos Belangero, William Freitas, Anderson Koch, Hilton A. do Amaral, Ney Pecegueiro |
author_sort | Giordano, Vincenzo |
collection | PubMed |
description | BACKGROUND: The biomechanical behavior of Pauwels type III fractures should be taken into consideration when performing internal fixation, since this repair should resist the shear force inherent in the vertical fracture line to the greatest extent possible. Recently, the use of a small fragment plate on the medial face of the femoral neck has been proposed by some authors, with satisfactory initial results. In the current study we analyze the mechanical role a medial plate used as a buttress plate for Pauwels type III femoral neck fractures, comparing the resistance of two fixation configurations using three cannulated screws. METHODS: Pauwels type III fractures were simulated in synthetic bones models and two groups were created, one of those using two parallel screws at the bottom of the femoral neck and the third screw crossing the fracture horizontally (G1), and the other fixed in the same arrangement as G1, but with the addition of a medial side plate at the apex of the fracture (G2). The constructs were subjected to axial loading until catastrophic failure. RESULTS: The addition of a medial plate buttressing the femoral neck increased significantly the resistance to maximum loading (p = 0.003). CONCLUSION: Use of a medial buttress plate results in a mechanically superior construction for Pauwels type III fractures fixed with multiple cannulated screws. LEBEL OF EVIDENCE: Level IV. Biomechanical comparative study. |
format | Online Article Text |
id | pubmed-6497711 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-64977112019-05-21 The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws Giordano, Vincenzo Alves, Danilo Diniz Paes, Roger Pletsch Amaral, Arthur Bonfim Giordano, Marcos Belangero, William Freitas, Anderson Koch, Hilton A. do Amaral, Ney Pecegueiro J Exp Orthop Research BACKGROUND: The biomechanical behavior of Pauwels type III fractures should be taken into consideration when performing internal fixation, since this repair should resist the shear force inherent in the vertical fracture line to the greatest extent possible. Recently, the use of a small fragment plate on the medial face of the femoral neck has been proposed by some authors, with satisfactory initial results. In the current study we analyze the mechanical role a medial plate used as a buttress plate for Pauwels type III femoral neck fractures, comparing the resistance of two fixation configurations using three cannulated screws. METHODS: Pauwels type III fractures were simulated in synthetic bones models and two groups were created, one of those using two parallel screws at the bottom of the femoral neck and the third screw crossing the fracture horizontally (G1), and the other fixed in the same arrangement as G1, but with the addition of a medial side plate at the apex of the fracture (G2). The constructs were subjected to axial loading until catastrophic failure. RESULTS: The addition of a medial plate buttressing the femoral neck increased significantly the resistance to maximum loading (p = 0.003). CONCLUSION: Use of a medial buttress plate results in a mechanically superior construction for Pauwels type III fractures fixed with multiple cannulated screws. LEBEL OF EVIDENCE: Level IV. Biomechanical comparative study. Springer Berlin Heidelberg 2019-05-02 /pmc/articles/PMC6497711/ /pubmed/31049738 http://dx.doi.org/10.1186/s40634-019-0187-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Giordano, Vincenzo Alves, Danilo Diniz Paes, Roger Pletsch Amaral, Arthur Bonfim Giordano, Marcos Belangero, William Freitas, Anderson Koch, Hilton A. do Amaral, Ney Pecegueiro The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws |
title | The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws |
title_full | The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws |
title_fullStr | The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws |
title_full_unstemmed | The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws |
title_short | The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws |
title_sort | role of the medial plate for pauwels type iii femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497711/ https://www.ncbi.nlm.nih.gov/pubmed/31049738 http://dx.doi.org/10.1186/s40634-019-0187-3 |
work_keys_str_mv | AT giordanovincenzo theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT alvesdanilodiniz theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT paesrogerpletsch theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT amaralarthurbonfim theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT giordanomarcos theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT belangerowilliam theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT freitasanderson theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT kochhiltona theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT doamaralneypecegueiro theroleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT giordanovincenzo roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT alvesdanilodiniz roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT paesrogerpletsch roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT amaralarthurbonfim roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT giordanomarcos roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT belangerowilliam roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT freitasanderson roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT kochhiltona roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews AT doamaralneypecegueiro roleofthemedialplateforpauwelstypeiiifemoralneckfractureacomparativemechanicalstudyusingtwofixationswithcannulatedscrews |